Spencer, M. S. and Rosland, A.-M. and Kieffer, E. C. and Sinco, B. R. and Valerio, M. A. and Palmisano, G. and Anderson, M. and Guzman, J. R. and Heisler, M.
Objectives. We tested the effectiveness of a culturally tailored, behavioral theory-based community health worker intervention for improving glycemic control. Methods. We used a randomized, 6-month delayed control group design among 164 African American and Latino adult participants recruited from 2 health systems in Detroit, Michigan. Our study was guided by the principles of community-based participatory research. Hemoglobin A1c (HbA1c) level was the primary outcome measure. Using an empowerment-based approach, community health workers provided participants with diabetes self-management education and regular home visits, and accompanied them to a clinic visit during the 6-month intervention period. Results. Participants in the intervention group had a mean HbA1c value of 8.6% at baseline, which improved to a value of 7.8% at 6 months, for an adjusted change of -0.8 percentage points (P<.01). There was no change in mean HbA1c among the control group (8.5%). Intervention participants also had significantly greater improvements in self-reported diabetes understanding compared with the control group. Conclusions. This study contributes to the growing evidence for the effectiveness of community health workers and their role in multidisciplinary teams engaged in culturally appropriate health care delivery. (Am J Public Health. Published online ahead of print June 16, 2011: e1-e8. doi:10.2105/AJPH.2010.300106).
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|Additional Information:||This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.|
|Uncontrolled Keywords:||behavioral theory-based community health worker intervention, community-based participatory research, community health workers, health care delivery|
|Subjects:||Health > Public Health > Chronic Illness & Diseases > Diabetes|
Practice > interventions
Research > studies
|Depositing User:||Users 141 not found.|
|Date Deposited:||23 Jun 2011 12:06|
|Last Modified:||23 Jun 2011 13:56|
|Link to this item (URI):||http://health-equity.pitt.edu/id/eprint/2611|
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